S. 133Senate118th Congress (2023-2025)Enacted

NAPA Reauthorization Act

Introduced January 30, 2023

AI-Generated Summary

Updated January 20, 2026 at 2:42 AM UTC

The NAPA Reauthorization Act extends and updates the National Alzheimer’s Project Act. It broadens the project’s focus to include promotion of healthy aging, risk‑factor reduction, and better outreach to underserved groups such as people with developmental disabilities. The bill also adds new federal agency representatives, increases research staffing, and pushes the program’s timeline out to 2035.

Key Provisions

  • Adds a new focus on promoting healthy aging and reducing Alzheimer’s risk factors.
  • Expands the definition of underserved populations to include individuals with developmental disabilities like Down syndrome.
  • Adds new designees from the Department of Justice, FEMA, Social Security Administration, and other experts chosen by HHS.
  • Increases the number of researchers required and mandates inclusion of experts in recruiting underrepresented groups for dementia studies.
  • Changes evaluation requirements from initial to annual and broadens scope to include risk reduction, public health, and clinical work.
  • Extends the project’s target completion date from 2025 to 2035.
  • Requires a summary of the Secretary’s process for updating Alzheimer’s disease diagnostic criteria.
  • Mandates representation from a person diagnosed with Alzheimer’s and a historically underserved population with higher lifetime risk.

Legislative Activity

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19 earlier actions
Became Law Latest Action

Became Public Law No: 118-92.

October 1, 2024

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SenateIntro Referral

Introduced in Senate

January 30, 2023

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (Sponsor introductory remarks on measure: CR S150-151)

January 30, 2023

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

June 15, 2023

SenateCommittee

Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.

July 27, 2023

SenateCalendars

Placed on Senate Legislative Calendar under General Orders. Calendar No. 182.

July 27, 2023

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S5568-5569)

July 30, 2024

SenateFloor

The committee substitute withdrawn by Unanimous Consent.

July 30, 2024

SenateFloor

Passed Senate with an amendment by Voice Vote. (text: CR S5568-5569)

July 30, 2024

SenateFloor

Message on Senate action sent to the House.

July 31, 2024

HouseFloor

Received in the House.

August 2, 2024 • 11:03 AM

HouseFloor

Held at the desk.

August 2, 2024 • 11:25 AM

HouseFloor

Mr. Bucshon moved to suspend the rules and pass the bill.

September 23, 2024 • 3:02 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H5576-5577)

September 23, 2024 • 3:02 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on S. 133.

September 23, 2024 • 3:02 PM

SenateFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5576-5577)

September 23, 2024 • 3:07 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5576-5577)

September 23, 2024 • 3:07 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

September 23, 2024 • 3:07 PM

President

Presented to President.

September 26, 2024

Became Law

Signed by President.

October 1, 2024

Became Law

Became Public Law No: 118-92.

October 1, 2024

Floor Debate

6 members

What members said about S. 133 on the floor

4 Republicans2 Democrats
Susan M. Collins
Sen. Susan M. CollinsR-ME · Jul 30, 2024

Mr. President, I rise today to support passage of two bipartisan bills aimed at continuing the significant progress we are making in treating and, one day, preventing and curing Alzheimer's disease.…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jan 30, 2023

Madam President, I rise today to introduce two bills aimed at continuing the important progress we are making to prevent and effectively treat Alzheimer's disease. I know how devastating this disease…

Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Sep 23, 2024

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of S. 133, the NAPA Reauthorization Act, which would reauthorize the National Alzheimer's Project Act through…

Larry Bucshon
Rep. Larry BucshonR-IN-8 · Sep 23, 2024

Mr. Speaker, I move to suspend the rules and pass the bill (S. 133) to extend the National Alzheimer's Project. Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in…

Earl L. "Buddy" Carter
Rep. Earl L. "Buddy" CarterR-GA-1 · Sep 23, 2024

Mr. Speaker, I thank the gentleman for yielding. Mr. Speaker, I am proud to join my colleagues in supporting the National Alzheimer's Project Reauthorization Act. This legislation reauthorizes the…

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Susan M. Collins
Sen. Susan M. CollinsR-ME · Jul 30, 2024

Mr. President, so as if in legislative session and notwithstanding rule XXII, I ask unanimous consent that the Senate proceed to the immediate consideration of Calendar No. 182, S. 133. Mr.…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jan 30, 2023

Madam President, I ask unanimous consent that the text of the bill be printed in the Record.

John Thune
Sen. John ThuneR-SD · Jan 30, 2023

Madam President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

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One Hundred Eighteenth Congress of the United States of America

2d Session

Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and twenty four

S. 133

AN ACT

To extend the National Alzheimer's Project.

1.

Short title

This Act may be cited as the NAPA Reauthorization Act.

2.

Extension of project

Section 2 of the National Alzheimer's Project Act (42 U.S.C. 11225) is amended—

(1)

in subsection (c)—

(A)

in paragraph (2), by striking and coordination of and inserting on, and coordination of,;

(B)

in paragraph (4)—

(i)

by redesignating subparagraphs (A) and (B) as subparagraphs (B) and (C), respectively; and

(ii)

by inserting before subparagraph (B), as so redesignated, the following:

(A)

promotion of healthy aging and reduction and mitigation of risk factors for Alzheimer's;

;

(C)

in paragraph (5)—

(i)

by inserting and other underserved populations, including individuals with developmental disabilities such as Down syndrome, after populations; and

(ii)

by striking ; and and inserting a semicolon;

(D)

by redesignating paragraph (6) as paragraph (7); and

(E)

by inserting after paragraph (5) the following:

(6)

provide information on, and promote the adoption of, healthy behaviors that may reduce the risk of cognitive decline and promote and protect cognitive health; and

;

(2)

in subsection (d)(2)—

(A)

by inserting , across public and private sectors, after Nation's progress; and

(B)

by inserting , including consideration of public-private collaborations, as appropriate before the period;

(3)

in subsection (e)—

(A)

in paragraph (2)—

(i)

in subparagraph (A), by adding at the end the following:

(xi)

A designee of the Department of Justice.

(xii)

A designee of the Federal Emergency Management Agency.

(xiii)

A designee of the Social Security Administration.

(xiv)

2 or more other designees, as determined by the Secretary of Health and Human Services, at least one of whom has expertise in risk factors associated with the development or the progression of Alzheimer's.

; and

(ii)

in subparagraph (B)—

(I)

in the matter preceding clause (i), by striking 12 and inserting 15;

(II)

in clause (v)—

(aa)

by striking 2 researchers and inserting 3 researchers; and

(bb)

by striking ; and and inserting , including at least one researcher with demonstrated experience in recruitment and retention of underrepresented groups into research or clinical trials related to dementia;;

(III)

in clause (vi), by striking the period and inserting a semicolon; and

(IV)

by adding at the end the following:

(vii)

1 individual with a diagnosis of Alzheimer's disease; and

(viii)

1 representative from a historically underserved population whose lifetime risk for developing Alzheimer's is markedly higher than that of other populations.

;

(B)

in paragraph (5)—

(i)

in subparagraph (A)—

(I)

by striking an initial evaluation and inserting annual evaluations; and

(II)

by striking research, clinical and inserting research, risk reduction, public health, clinical;

(ii)

in subparagraph (B), by striking initial;

(iii)

in subparagraph (C)—

(I)

in the matter preceding clause (i), by striking initial; and

(II)

in clause (ii), by inserting and reduce disparities before the semicolon; and

(iv)

in subparagraph (D), by striking annually thereafter, an evaluation and inserting annual evaluations; and

(C)

in paragraph (6), by striking 2025 and inserting 2035;

(4)

in subsection (g)—

(A)

in paragraph (1)—

(i)

by adding and after the semicolon;

(ii)

by striking that includes an evaluation and inserting “that includes—

(A)

an evaluation;

; and

(iii)

by adding at the end the following:

(B)

a summary of the Secretary's process for identifying and updating what conditions constitute Alzheimer's disease;

; and

(B)

in paragraph (3)(A)(ii), by inserting and reduce disparities before the semicolon; and

(5)

in subsection (h), by striking 2025 and inserting 2035.

Speaker of the House of Representatives

Vice President of the United States and President of the Senate